• Appointment Request

    Appointment Request

    Please complete the form below to schedule an appointment or to get in touch with us.
    We will try our best to accommodate your request and return your message ASAP.

    “The good life is a process, not a state of being. It is a direction not a destination.”
    ― Carl Rogers

    By submitting this form via this web portal, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.